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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - Perspective
Background
As hospital-based health care in the United States has consolidated, large … However, large health care systems also present challenges to the building and maintenance of safety … Beneath the surface of most large health care systems lies a heterogenous set of local entities (often … In a large complex organization, continual reorganization and employee turnover occur. … In summary, while the development of large, integrated health care networks offer major opportunities
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psnet.ahrq.gov/issue/staff-perceptions-quality-care-observational-study-nhs-staff-survey-hospitals-england
May 04, 2017 - This large National Health Service survey found a weak correlation between increased staff satisfaction … Culture and behaviour in the English National Health Service: overview of lessons from a large
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psnet.ahrq.gov/issue/nursing-time-devoted-medication-administration-long-term-care-clinical-safety-and-resource
February 11, 2009 - Medication administration in long-term care facilities is a lengthy process, and the large number of … March 4, 2011
The incidence of adverse drug events in two large academic long-term care
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - Related Resources From the Same Author(s)
Characterization of adverse events detected in a large … February 1, 2011
Implementing SBAR across a large multihospital health system. … January 3, 2017
Large-scale deployment of the Global Trigger Tool across a large hospital
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psnet.ahrq.gov/node/72669/psn-pdf
January 27, 2021 - nosocomial-transmission-and-outbreaks-coronavirus-disease-2019-need-
protect-both-patients-and
The large … need-protect-both-patients-and
https://psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
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psnet.ahrq.gov/node/50883/psn-pdf
February 12, 2020 - time-series-evaluation-improvement-interventions-reduce-alarm-notifications-
paediatric
Continuous vital sign monitoring can generate a large … This article describes Plan-Do-Study-Act processes employed in the acute care cardiology unit of a
large
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psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
November 04, 2014 - Nearly half of the pediatric inpatients in this large national sample had at least one chronic medical … November 4, 2014
Large language model influence on diagnostic reasoning: a randomized
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psnet.ahrq.gov/node/837434/psn-pdf
June 15, 2022 - ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding-technology
https://psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after … https://psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
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psnet.ahrq.gov/issue/patient-safety-quality-care-and-service-utilization-plato-physician-leadership-accurate-and
August 18, 2021 - Related Resources From the Same Author(s)
From implementation to sustainment: a large-scale … August 18, 2021
Improving healthcare systems' disclosures of large-scale adverse events … January 18, 2013
Disclosing large scale adverse events in the US Veterans Health Administration
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psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
October 21, 2020 - February 20, 2019
Quality and reporting of large-scale improvement programmes: a review … Culture and behaviour in the English National Health Service: overview of lessons from a large … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large … Quality
April 26, 2023
WebM&M Cases
Missing a Large … Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large
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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large … exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large … March 8, 2023
A retrospective review of serious surgical incidents in 5 large UK teaching
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psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
March 30, 2022 - A case study from a large metropolitan healthcare trust. … View More
Related Resources
Evaluation and mitigation of the limitations of large … September 11, 2024
Unlocking the potential of free text in electronic health records with large
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psnet.ahrq.gov/node/47523/psn-pdf
December 05, 2018 - developing-standardized-receiver-driven-handoffs-between-referring-providers-and-emergency
https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre … https://psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic … A Quality
Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic
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psnet.ahrq.gov/node/60200/psn-pdf
April 08, 2020 - opioid-prescribing-patterns-among-medical-providers-united-states-2003-17-
retrospective
Using data from a large … A large
proportion of prescriptions written by high prescribing opioid providers exceeded guidelines
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psnet.ahrq.gov/node/46301/psn-pdf
October 11, 2017 - inadequate-hand-communication
https://psnet.ahrq.gov/primer/leadership-role-improving-safety
https://psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre … https://psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
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psnet.ahrq.gov/node/40274/psn-pdf
December 29, 2014 - predictors-perceived-impact-patient-safety-collaborative-exploratory-study
https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer … https://psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large … February 1, 2023
A retrospective review of serious surgical incidents in 5 large UK teaching … exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large
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psnet.ahrq.gov/issue/criteria-selection-paediatric-patients-susceptible-reconciliation-error
December 12, 2021 - (s)
Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large … Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large … Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large